- Must be able to handle all types of claims, (ie. Property, General Liability, Auto, WC & EPL), for the largest and/or most complex accounts
- Effectively manage team members and monitor claim performance statistics to assure customer retention.
- Serve as liaison between client & carrier on all claim related issues
- Serve as liaison between client and carrier loss control representatives on loss control related issues
- Serve as liaison between lien reps., hearing reps and defense council
- Effectively manage multiple complex open projects
- Have knowledge base of insurance coverages (i.e., occurrence versus claims made policies) as relates to claims handling
- Facilitates and attends claim reviews with clients, carriers, producers and any defense council (if applicable); strong presentation abilities and highly articulate
- Monitor reserves and timeliness of claim closure
- Proficient in obtaining loss information (loss runs, claim adjuster notes) from carrier's online systems and any other carrier information as pertains to claims, loss information and loss prevention
- Stay up to date on California Workers' Compensation laws and regulations
- Familiar with medical procedures, new medical technologies and prescription drugs that affect workers' compensation claims; familiar with the rating factors that go into a disability claim
- Familiar with changing legislations and insurance related court decisions that could impact how claims are processed
- Any other job-related duties as may be assigned
- Communication: Clear and precise in written, verbal, and electronic communication.
- Problem Solving & Judgment: Analyzes and resolves issues with sound judgment.
- Decisiveness: Makes prompt and well-considered decisions.
- Makes prompt and well-considered decisions.
- Planning & Organization: Establishes and executes goals effectively, proficient in prioritization.
- Emotional Intelligence: Manages personal emotions adeptly, maintaining composure.
- Drive & Initiative: Sets high standards for achievement, takes proactive leadership roles.
- Adaptability & Flexibility: Navigates changes adeptly, adjusting approaches as needed.
- Insurance certification or equivalent.
- P&C license or attainment thereof upon hire.
- Ability to maintain a high level of confidentiality
- 5 years' experience in a similar position
- Excellent growth and advancement opportunities
- Competitive pay based on experience
- Paid Time Off (PTO)
- Generous benefits package: health, dental, vision, 401(k), etc.
- Employee Stock Purchase Plan
- Hybrid position
-
Physician - Occupational Medicine
3 weeks ago
Barton Associates California, United States OTHERYour next locum tenens opportunity awaits in California Our client is looking for a physician specializing in occupational medicine to begin coverage immediately. Hours include 8:30a - 5:30p shifts. The selected locum will be handling worker's comp, injuries, illnesses, and other ...
-
Senior Attorney
2 weeks ago
JCW California, United StatesInterested in jumpstarting your law career and finding a clear path to partnership? JCW is currently working on behalf of large and rapidly growing California based law firm seeking Workers compensation Attorney's to join their team. This firm provides exceptional benefits and a ...
-
Nurse Practitioner
2 weeks ago
Barton Associates California, United StatesJOB TITLE · Nurse Practitioner - Occupational Medicine · PROVIDER TYPE · Nurse Practitioner · SPECIALTY · Occupational Medicine · JOB TYPE · Locum Tenens · STATE · CA · PRACTICE SETTING · Clinic · DURATION · 91 Days · Job Benefits Competitive compensation Travel-rel ...
-
Physician - Family Practice
3 weeks ago
Barton Associates California, United States OTHERYour next locum tenens opportunity awaits in California Our client is looking for a physician specializing in family practice to begin coverage in early May. Hours include 9:30a - 5:30p and other similar shifts from Mondays - Thursdays. The selected locum will be handling physica ...
-
Workers Compensation Claims
4 weeks ago
Newman Group Search California, United StatesWorkers Compensation Claims Analyst · Claims Analyst · Senior Claims Analyst · Experienced Workers Compensation Claims Professional - Fully Remote Position · Join a dynamic team of dedicated professionals committed to fostering career growth and employee development. As the compa ...
-
Case Manager
5 days ago
ActOne Group California, United StatesThis Workman's Comp Legal Case Manager Position Features: · Pay ranges from $52K to $70K · MUST BE BILINGUAL SPANISH · MUST BEABLE TO WORK ON SITE, THIS IS NOT A HYBRID OR REMOTE OPPORTUNITY. · WORKMAN'S COMP EXPERIENCE IS A MUST · Primary duties/responsibilities include, but are ...
-
Immediate Need
2 weeks ago
BARTON ASSOCIATES California, United StatesYour next locum tenens opportunity awaits in California Our client is looking for a physician specializing in occupational medicine to begin coverage immediately. Hours include 8:30a - 5:30p shifts. The selected locum will be handling worker's comp, injuries, illnesses, and other ...
-
Litigation Paralegal
4 weeks ago
Adams & Martin Group California, United StatesPartnering with a reputable law firm located in Century City, seeking a paralegal with experience reviewing medical records, advanced MS Excel skills, and filings for state and federal courts. This position is hybrid (3 days on-site and 2 days remote) Can change to more time work ...
-
Senior Controller
1 week ago
Romanoff Recruiting California, United StatesWe have partnered with a top-ranked San Diego General Contractor and are assisting them in a search for a Senior Controller. This position will be a member of senior management and is responsible for timely reporting and relaying accurate profitability to the executive team. The ...
-
Nurse Practitioner
3 weeks ago
Barton Associates California, United States Full timeNurse Practitioner - Occupational Medicine · Occupational Medicine · Locum Tenens · Clinic · Your next locum tenens opportunity awaits in California Our client is looking for a nurse practitioner specializing in occupational medicine to begin coverage immediately. Hours inclu ...
-
Ultimate Staffing California, United StatesEstablished organization is seeking a Bilingual Spanish Workers' Comp Claims Rep for direct hire Pay: $70-103k DOE · Investigate and assess the validity of workers' compensation claims by gathering information from various sources, including claimants, witnesses, medical records, ...
-
Attorney - Los Angeles GL
6 days ago
Quintairos, Prieto, Wood, & Boyer, P.A. California, United StatesQuintairos, Prieto, Wood & Boyer, P.A., a multi-office national law firm is seeking attorneys with General Liability defense experience to join our Los Angeles/Glendale Office. Practice areas include Auto, Construction Defect, Workers' Comp, General Liability, Med Mal/Nursing Hom ...
-
Physician Clinic Medical D
2 weeks ago
MedConnect Staffing California, United StatesAbout the Practice: Medical Center in Mt. Shasta is looking for a Board Eligible/Board Certified OB/GYN to join a hospital-based clinic with no overhead as an employed Physician. The practice is staffed by dedicated and highly competent team players from fellow Physicians to a fu ...
-
HR Generalist, Leave of Absence
2 weeks ago
Regal Medical Group California, United StatesWe are looking for a HR Generalist with Leave of Absence experience to join our Human Resources team in Northridge, CA . · Essential Duties and Responsibilities include the following: · Will manage the Leave of Absence programs for 1800+ employees. This includes the application, ...
-
business office assistant
4 weeks ago
Healthcare Nursing Center , CA, United StatesHealthcare Nursing Center - POSITION SUMMARY · The purpose of your job position is to assist in the accounting and billing functions to ensure timely and accurate collection of accounts receivable while complying with federal, state and local standards that govern the facility, a ...
-
Advanced Practice Nurses
1 week ago
One Stop Recruiting California, United StatesHello,My name is Valerie and I work with Private Practice located in Redding, CA. We are currently looking for Nurse Practitioner who has worked in occupational medicine or workers' comp, to join our team. This opportunity offers a Monday through Friday schedule, generous benefit ...
-
One Stop Recruiting California, United StatesHello,My name is Valerie and I work with Private Practice located in Redding, CA. We are currently looking for Nurse Practitioner who has worked in occupational medicine or workers' comp, to join our team. This opportunity offers a Monday through Friday schedule, generous benefit ...
-
Claims Supervisor
2 weeks ago
Athens Administrators California, United StatesPOSITION SUMMARY · Athens Administrators has an immediate need for a Claims Supervisor to support our Workers Compensation department in Orange and can be located remotely from Southern California if technical requirements are met. The Claims Supervisor will supervise and monitor ...
-
General Manager
4 weeks ago
Mina Group California, United States**Mina Group** · **General Manager** · **Bourbon Pub Tahoe - Truckee, CA - Full Time** · The General Manager Position provides administrative, technical and analytical support to the Kitchen and Dining Room Management teams, under the supervision of the General Manager and Execut ...
-
Provider Relations Specialist I
1 week ago
CorVel Corporation California, United States OTHERAssists providers via phone and email with basic to complex bill review questions and requests. Documents bill review errors for tracking and trending to improve team error rate. Acts as a positive and professional representative of our CorVel family; ensures compliance with comp ...
Workers Comp - California, United States - Brown & Brown Insurance
Description
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Brown & Brown is looking for a Claims Manager to join our team in Irvine, CA
SUMMARY:
Works independently and in conjunction with Producers and Account Executives on all matters relating to claims. Reviews first and third-party claims for irregularities, accuracy and completeness. Requests additional information, when necessary, for completion of claim processing
ESSENTIAL DUTIES AND FUNCTIONS:
COMPETENCIES:
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
WHAT YOU'LL NEED:
WHAT WE OFFER:
Target Pay
$90-$100k DOE
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
